go back

Montana rates for HCPCS 33852

Rpr Hypoplstc A-Arch W/Agrft/Prostc W/O Bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.80 / $7,144.91 / $7,144.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,178.39 / $2,178.39 / $2,178.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.64 / $2,178.39 / $2,178.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,178.39 / $2,671.05 / $2,701.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.20 / $1,885.90 / $2,880.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.44 / $2,428.21 / $3,811.91